MS. CLARISSA C JUAREZ (NPI# 1225471154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225471154 |
| Entity Type | Individual |
| Full Name | MS. CLARISSA C JUAREZ |
| Credential | CNP |
| Practice Address |
2960 Rodeo Park Dr W Santa Fe NM 87505-6351 |
| Practice Telephone | 5059869633 |
| Practice Fax Number | 5058201209 |
| Mailing Telephone | 5059869633 |
| Mailing Fax Number | 5058201209 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP-02161 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP-02161 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CNP-02161 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3231 Caminito San Lucas, Dba Rio De La Vida Medspa, LLC., Santa Fe, NM 87507 | 2077563073 | |
| 2025 E Aztec Ave, Gallup, NM 873014803 | 5058633828 | 5058636612 |
| Street Address |
2960 RODEO PARK DR W |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956004 | Richard D Kenney | Pediatrics | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-05-08 |
| 1518588813 | Robert Belgrod | Art Therapist | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2020-04-28 |
| 1972141414 | Oscar Herrera | Case Manager/Care Coordinator | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-12-16 |
| 1508400607 | Abigail Banmbuh | Nurse Practitioner | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-10-31 |
| 1528614856 | Roemillo Nez | Case Manager/Care Coordinator | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-08-13 |
| 1851947071 | Nicholas Efrain Chandia | Case Manager/Care Coordinator | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-08-13 |
| 1629624069 | Dalila Baied | Social Worker | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-08-12 |
| 1376101394 | Jesus De Los Santos | Case Manager/Care Coordinator | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-06-04 |
| 1912470543 | Melody Amber Vanhoose | Counselor | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-01-07 |
| 1235612177 | Christopher Evan Jones | Nurse Practitioner | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836647 | Olivia Kimble | Nurse Practitioner | 4129 S Meadows Rd Apt 424, Santa Fe, NM 87507-3066 | 2018-06-28 |
| 1518469295 | Cheryl Ann Becker | Nurse Practitioner | 490a W Zia Rd Ste 260, Santa Fe, NM 87505-6996 | 2018-03-08 |
| 1669861506 | Svelte LLC | Nurse Practitioner | 1300 Luisa St Ste 3b, Santa Fe, NM 87505-4177 | 2015-01-15 |
| 1649537978 | St Johns College Health Center | Nurse Practitioner | 1160 Camino Cruz Blanca, Santa Fe, NM 87505-4599 | 2012-04-11 |
| 1871661223 | Amy Beth Robbins | Nurse Practitioner | 454 St Michaels Drive, Pmg St Michaels, Santa Fe, NM 87505 | 2006-12-02 |
| 1033187802 | Jacquelyn Belinsky | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-03-09 |
| 1659349298 | Mary Ellen Lopez | Nurse Practitioner | 531 Harkle Rd Ste B, Santa Fe, NM 87505-4753 | 2006-03-09 |
| 1548247513 | Martha V Ludwick | Nurse Practitioner | 2015 Galisteo St, Santa Fe, NM 87505-2101 | 2005-12-29 |
| 1356986947 | Alyssa Stramel | Nurse Practitioner | 1421 Luisa St Ste I, Santa Fe, NM 87505-4073 | 2019-11-07 |
| 1629553011 | Rebecca J Wilson | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2018-10-01 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.